Properties of the Symptom Check List (SCL-90-R) in a Psychosomatic Consultation-Liaison Setting

2002 ◽  
Vol 90 (3_part_2) ◽  
pp. 1201-1207 ◽  
Author(s):  
Norbert Schmitz ◽  
Norbert Hartkamp ◽  
Matthias Franz ◽  
Stefan Buse ◽  
Roman Karig ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Mental Health Problems ◽  
International Classification Of Diseases ◽  
Current Status ◽  
Check List ◽  
Classification Of Diseases ◽  
Medical Inpatients ◽  
Symptom Check List ◽  
Psychological Impairment ◽  
Almost All

The present study aimed to assess the effect of psychological screening of medical inpatients using the Symptom Check List, SCL-90-R. A sample of 630 medical inpatients who were referred to a psychosomatic consultation-liaison service was assessed using the SCL-90-R. A clinical interview was conducted with all assessed Patients. Patients referred to the consultation-liaison service showed high psychological distress. 73% of the subjects were classed as cases using the International Classification of Diseases (10th Revision) criteria and psychological impairment. The screening characteristics of the SCL-90-R were not as good as those reported for other outpatient samples. The SCL-90-R appears to have been valuable for the consultation-liaison service since subjects with mental disorders scored significantly higher on almost all the scales than subjects without mental disorders. The questionnaire can serve as a useful tool for understanding patients’ current status regarding mental health problems.

Properties of the Symptom Check List (SCL-90–R) in a Psychosomatic Consultation-Liaison Setting

2002 ◽  
Vol 90 (3_suppl) ◽  
pp. 1201-1207 ◽  
Author(s):  
Norbert Schmitz ◽  
Norbert Hartkamp ◽  
Matthias Franz ◽  
Stefan Buse ◽  
Roman Karig ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Mental Health Problems ◽  
International Classification Of Diseases ◽  
Current Status ◽  
Check List ◽  
Classification Of Diseases ◽  
Medical Inpatients ◽  
Symptom Check List ◽  
Psychological Impairment ◽  
Almost All

The present study aimed to assess the effect of psychological screening of medical inpatients using the Symptom Check List, SCL-90–R. A sample of 630 medical inpatients who were referred to a psychosomatic consultation-liaison service was assessed using the SCL-90–R. A clinical interview was conducted with all assessed patients. Patients referred to the consultation-liaison service showed high psychological distress. 73% of the subjects were classed as cases using the International Classification of Diseases (10th Revision) criteria and psychological impairment. The screening characteristics of the SCL-90–R were not as good as those reported for other outpatient samples. The SCL-90–R appears to have been valuable for the consultation-liaison service since subjects with mental disorders scored significantly higher on almost all the scales than subjects without mental disorders. The questionnaire can serve as a useful tool for understanding patients' current status regarding mental health problems.

Angststörungen – von der ICD-10 zur ICD-11

2020 ◽  
pp. 1-5
Author(s):  
Timo D. Vloet ◽  
Marcel Romanos
Keyword(s):  
Mental Disorders ◽  
International Classification Of Diseases ◽  
International Classification ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Classification Of Diseases ◽  
Icd 10

Zusammenfassung. Hintergrund: Nach 12 Jahren Entwicklung wird die 11. Version der International Classification of Diseases (ICD-11) von der Weltgesundheitsorganisation (WHO) im Januar 2022 in Kraft treten. Methodik: Im Rahmen eines selektiven Übersichtsartikels werden die Veränderungen im Hinblick auf die Klassifikation von Angststörungen von der ICD-10 zur ICD-11 zusammenfassend dargestellt. Ergebnis: Die diagnostischen Kriterien der generalisierten Angststörung, Agoraphobie und spezifischen Phobien werden angepasst. Die ICD-11 wird auf Basis einer Lebenszeitachse neu organisiert, sodass die kindesaltersspezifischen Kategorien der ICD-10 aufgelöst werden. Die Trennungsangststörung und der selektive Mutismus werden damit den „regulären“ Angststörungen zugeordnet und können zukünftig auch im Erwachsenenalter diagnostiziert werden. Neu ist ebenso, dass verschiedene Symptomdimensionen der Angst ohne kategoriale Diagnose verschlüsselt werden können. Diskussion: Die Veränderungen im Bereich der Angsterkrankungen umfassen verschiedene Aspekte und sind in der Gesamtschau nicht unerheblich. Positiv zu bewerten ist die Einführung einer Lebenszeitachse und Parallelisierung mit dem Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Schlussfolgerungen: Die entwicklungsbezogene Neuorganisation in der ICD-11 wird auch eine verstärkte längsschnittliche Betrachtung von Angststörungen in der Klinik sowie Forschung zur Folge haben. Damit rückt insbesondere die Präventionsforschung weiter in den Fokus.

ICD-11 and DSM-5 personality trait domains capture categorical personality disorders: Finding a common ground

2017 ◽  
Vol 52 (5) ◽  
pp. 425-434 ◽  
Author(s):  
Bo Bach ◽  
Martin Sellbom ◽  
Mathias Skjernov ◽  
Erik Simonsen
Keyword(s):  
Personality Disorder ◽  
Mental Disorders ◽  
Personality Disorders ◽  
International Classification Of Diseases ◽  
International Classification ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Classification Of Diseases ◽  
Domain Models

Objective: The five personality disorder trait domains in the proposed International Classification of Diseases, 11th edition and the Diagnostic and Statistical Manual of Mental Disorders, 5th edition are comparable in terms of Negative Affectivity, Detachment, Antagonism/Dissociality and Disinhibition. However, the International Classification of Diseases, 11th edition model includes a separate domain of Anankastia, whereas the Diagnostic and Statistical Manual of Mental Disorders, 5th edition model includes an additional domain of Psychoticism. This study examined associations of International Classification of Diseases, 11th edition and Diagnostic and Statistical Manual of Mental Disorders, 5th edition trait domains, simultaneously, with categorical personality disorders. Method: Psychiatric outpatients ( N = 226) were administered the Structured Clinical Interview for DSM-IV Axis II Personality Disorders Interview and the Personality Inventory for DSM-5. International Classification of Diseases, 11th edition and Diagnostic and Statistical Manual of Mental Disorders, 5th edition trait domain scores were obtained using pertinent scoring algorithms for the Personality Inventory for DSM-5. Associations between categorical personality disorders and trait domains were examined using correlation and multiple regression analyses. Results: Both the International Classification of Diseases, 11th edition and the Diagnostic and Statistical Manual of Mental Disorders, 5th edition domain models showed relevant continuity with categorical personality disorders and captured a substantial amount of their information. As expected, the International Classification of Diseases, 11th edition model was superior in capturing obsessive–compulsive personality disorder, whereas the Diagnostic and Statistical Manual of Mental Disorders, 5th edition model was superior in capturing schizotypal personality disorder. Conclusion: These preliminary findings suggest that little information is ‘lost’ in a transition to trait domain models and potentially adds to narrowing the gap between Diagnostic and Statistical Manual of Mental Disorders, 5th edition and the proposed International Classification of Diseases, 11th edition model. Accordingly, the International Classification of Diseases, 11th edition and Diagnostic and Statistical Manual of Mental Disorders, 5th edition domain models may be used to delineate one another as well as features of familiar categorical personality disorder types. A preliminary category-to-domain ‘cross walk’ is provided in the article.

scholarly journals Revising Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for the bipolar disorders: Phase I of the AREDOC project

2018 ◽  
Vol 52 (12) ◽  
pp. 1173-1182 ◽  
Author(s):  
Gordon Parker ◽  
Gabriela Tavella ◽  
Glenda Macqueen ◽  
Michael Berk ◽  
Heinz Grunze ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Task Force ◽  
Bipolar Disorders ◽  
International Classification Of Diseases ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Classification Of Diseases ◽  
Operational Criteria ◽  
International Experts

Objective: To derive new criteria sets for defining manic and hypomanic episodes (and thus for defining the bipolar I and II disorders), an international Task Force was assembled and termed AREDOC reflecting its role of Assessment, Revision and Evaluation of DSM and other Operational Criteria. This paper reports on the first phase of its deliberations and interim criteria recommendations. Method: The first stage of the process consisted of reviewing Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and recent International Classification of Diseases criteria, identifying their limitations and generating modified criteria sets for further in-depth consideration. Task Force members responded to recommendations for modifying criteria and from these the most problematic issues were identified. Results: Principal issues focussed on by Task Force members were how best to differentiate mania and hypomania, how to judge ‘impairment’ (both in and of itself and allowing that functioning may sometimes improve during hypomanic episodes) and concern that rejecting some criteria (e.g. an imposed duration period) might risk false-positive diagnoses of the bipolar disorders. Conclusion: This first-stage report summarises the clinical opinions of international experts in the diagnosis and management of the bipolar disorders, allowing readers to contemplate diagnostic parameters that may influence their clinical decisions. The findings meaningfully inform subsequent Task Force stages (involving a further commentary stage followed by an empirical study) that are expected to generate improved symptom criteria for diagnosing the bipolar I and II disorders with greater precision and to clarify whether they differ dimensionally or categorically.

scholarly journals Pharmacotherapeutical possibilities in mental disorders: Current status in Serbia

2011 ◽  
Vol 139 (suppl. 1) ◽  
pp. 10-13
Author(s):  
Slavica Djukic-Dejanovic ◽  
Dusica Lecic-Tosevski ◽  
Goran Mihajlovic ◽  
Milica Borovcanin ◽  
Ivana Simic-Vukomanovic
Keyword(s):  
Mental Disorders ◽  
Mental Health Problems ◽  
Treatment Guidelines ◽  
Methadone Maintenance ◽  
Indirect Costs ◽  
Current Status ◽  
The European Union ◽  
Adequate Treatment ◽  
Innovative Drugs ◽  
The Cost

The new therapeutical approaches have direct implications on living in order to accomplish remission, stop further progression of illnesses or improve the quality of life. The life expectancy has been increased up to10 years in the last 55 years, probably owing to the innovative drugs. The innovative drugs application in our everyday clinical practice should be analyzed, related to economical aspects and to the transitional status of a country, but also in the context of fears and misconceptions of therapists. The cost of therapy is not equal to the cost of prescribed drugs, however it also includes direct and indirect costs and medical and nonmedical burden. Countries in our region spend 4-7.3% of the total budget for antipsychotic drugs, while the costs in Serbia are about 1.5%. The new antipsychotics and the new formulations of the available antipsychotics in the treatment of schizophrenia are pharmacoeconomically justified. On the other side, the substance abuse needs other strategies, including new substitution treatments. In our country only methadone maintenance therapy is available. It is necessary to provide adequate legislation to improve the process of drug registration. In the European Union it takes from 0 to 400 days for a drug to be registered, but in Serbia the process last longer than 3 years. Important laws approved in 2006 and 2009, are only a part of the destigmatiazation of patients with mental disorders. Treatment guidelines also help in resolving these issues. Taking all of the above into consideration, the treatment of mental disorders with innovative drugs is financially justified, but still unreachable for patients in Serbia. The voice of the professionals should be heard in these matters in order to provide the adequate treatment of people with mental health problems.

Prevalence of mental disorders in Australia: some evidence from the Hospital Morbidity Collection in New South Wales

1984 ◽  
Vol 16 (3) ◽  
pp. 357-367 ◽  
Author(s):  
Farhat Yusuf ◽  
M. Hamid Sheikh
Keyword(s):  
Mental Disorders ◽  
New South ◽  
New South Wales ◽  
International Classification Of Diseases ◽  
Ethnic Origin ◽  
Affective Psychosis ◽  
South Wales ◽  
Classification Of Diseases ◽  
Hospital Morbidity

SummaryThis study examines data from 47,238 episodes of hospitalization in New South Wales, Australia, pertaining to the patients suffering from mental disorders, i.e. those patients with a principal diagnosis coded from 290 to 315 inclusive, according to the 8th revision of the International Classification of Diseases.An overall prevalence of nine episodes of hospitalization due to mental disorders was found per 1000 population per annum. Major disease categories were neuroses and alcoholism (each accounting for 21% of the total episodes) followed by schizophrenia (16%) and affective psychosis (11%); there were substantial differences by age, sex, marital status and ethnic origin.

Clinical and psychopathological characteristics of sexual dysfunctions and non-psychotic mental disorders in women

2021 ◽  
Vol LIII (2) ◽  
pp. 42-45
Author(s):  
Alexander V. Martusenko ◽  
Elena O. Boyko ◽  
Olga G. Zaitseva
Keyword(s):  
Mental Disorders ◽  
Diagnostic Criteria ◽  
Inpatient Treatment ◽  
International Classification Of Diseases ◽  
Sexual Disorders ◽  
Sexual Dysfunctions ◽  
Second Stage ◽  
The Third ◽  
Classification Of Diseases

Aim. Study of clinical and psychopathological characteristics in women with sexual dysfunctions and mental disorders of the psychotic level. Material and methods. Clinical-psychopathological and sexological methods were used in the work. The results were processed using the licensed program Statistica 10.0 for Windows. At the first stage, 134 women (mean age 43.115.3 years) were examined who had inpatient treatment in the department for persons with non-psychotic mental disorders. At the second stage, the study involved 89 women (mean age 35.212.2 years), who were diagnosed with sexual dysfunctions. Results. Clinical and psychopathological indicators were studied, clinical, psychopathological and sexological analysis of sexual dysfunctions in women with non-psychotic mental disorders was carried out, taking into account the diagnostic criteria of the International Classification of Diseases-10. Three groups of patients were identified: (1) a group of women with sexual dysfunctions caused by non-psychotic mental disorders; (2) a group of patients in whom non-psychotic mental disorders were formed against the background of primary sexual pathology; (3) a group of patients in whom non-psychotic mental disorders accompany sexual dysfunctions. Conclusions. Sexual disorders in the studied groups are characterized by the predominance of libido disorder in the first group and the second group, as well as the predominance of dyspareunia in the third. There were no significant differences in the duration of sexual dysfunctions in the groups, which must be taken into account when choosing therapeutic and rehabilitation measures.

Voyeuristic Disorder

2019 ◽  
pp. 209-216
Author(s):  
J. Paul Fedoroff
Keyword(s):  
Mental Disorders ◽  
Sexual Activity ◽  
Diagnostic Criteria ◽  
Sexual Arousal ◽  
Recent Literature ◽  
International Classification Of Diseases ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Classification Of Diseases

Abstract: Voyeuristic disorder is defined as a condition in which a person experiences persistent (at least 6 months), recurrent, and intense sexual arousal from observing an unsuspecting person who is naked, disrobing, or engaging in sexual activity, as manifested by fantasies, urges, or behaviors. The prevalence of true voyeuristic disorder is estimated to be as high as 12% in men and 4% in women. This chapter discusses the Fifth edition of the Diagnostic and Statistical Manual of Mental Disorders and International Classification of Diseases diagnostic criteria for voyeuristic disorder, in addition to its diagnosis, treatment, and prognosis. The recent literature on these topics is reviewed.

Taxonomy, Classification, and Diagnosis of Disruptive Behavior Disorders

2017 ◽  
Author(s):  
Steiner Hans ◽  
Daniels Whitney ◽  
Kelly Michael ◽  
Stadler Christina
Keyword(s):  
Mental Disorders ◽  
Disruptive Behavior ◽  
Behavior Disorders ◽  
Developmental Psychopathology ◽  
Disruptive Behavior Disorders ◽  
International Classification Of Diseases ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Classification Of Diseases

This chapter traces the development of diagnoses attempting to capture antisocial and aggressive behavior. The chapter provides a careful discussion of the advantages of the Diagnostic and Statistical Manual of Mental Disorders and International Classification of Diseases systems and their diagnostic grouping. Tracing the processes by which these diagnoses were created, the hidden and obvious problems in the current taxonomy are laid bare. The model of developmental psychopathology, of which disruptive behavior disorders arguably have been called a model disorder, provides concluding comments, which point to the advantages of another taxonomy that hold the promise of improving the state of the current descriptive systems.

scholarly journals Shoulder Capsular Surgery in Finland Between 1999 and 2008: A Nationwide Register Analysis

2018 ◽  
Vol 107 (2) ◽  
pp. 172-179 ◽  
Author(s):  
L. Kavaja ◽  
A. Malmivaara ◽  
T. Lähdeoja ◽  
V. Remes ◽  
R. Sund ◽  
...  
Keyword(s):  
Scientific Evidence ◽  
Age Groups ◽  
International Classification Of Diseases ◽  
University Hospital ◽  
National Hospital Discharge Register ◽  
Total Incidence ◽  
Classification Of Diseases ◽  
Register Analysis ◽  
Almost All ◽  
Arthroscopic Procedures

Background and Aims: Shoulder capsular surgery is nowadays usually performed arthroscopically, and the proportion of arthroscopic method has rapidly increased during the last two decades. We assessed the incidence of shoulder capsular surgery procedures in Finland between 1999 and 2008. Material and Methods: We gathered the shoulder capsular surgery procedures for all kinds of shoulder instability in Finland between 1999 and 2008 from National Hospital Discharge Register and limited the patient material to include only certain diagnosis (International Classification of Diseases, 10th Edition) and Nordic Medico-Statistical Committee procedure code combinations. We analyzed the data in the whole country, between different age groups, and in university hospital districts. Results: The total incidence of shoulder capsular surgery procedures in Finland increased from 17 to 33 per 100,000 person-years. The incidence of arthroscopic procedures increased from 11 to 30 per 100,000 person-years and the proportion of arthroscopic procedures increased from 63% to 92% between years 1999 and 2007. The incidence of shoulder capsular surgery procedures increased on average around 90% in almost all age groups and particularly in the older age groups. We observed no significant geographical variation between university hospital districts. Conclusion: The incidence of shoulder capsular surgery procedures increased on average round 90% in almost all age groups. It seems to be difficult to support the rapidly increased rates of shoulder capsular surgery procedures or the arthroscopic method based on scientific evidence. While also older patients are treated with shoulder capsular surgery, well-defined indications for surgical intervention are needed so that the operations are conducted for the symptomatic patients benefitting most regardless of patients’ age.

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